38 Review of Baclofen Treatment for Children With Rumination Syndrome at a Single Center

Gupta, Shivani; Lu, Peter L.; Vaz, Karla; Yacob, Desale; Wall, Jody; Diest, Ashley Kroon Van; Lorenzo, Carlo Di; Bali, Neetu

doi:10.1016/s0016-5085(21)00775-7

Cited by 3 publications

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“…LES resting pressure was also significantly higher, with fewer transient relaxations in the treatment group. Gupta et al found that 48% of their pediatric patients reported improvement in the frequency of rumination with baclofen [22 ▪ ]. Of note, most of their patients also received behavioral therapy.…”

Section: Management Of Rumination Syndrome and Supragastric Belchingmentioning

confidence: 99%

Supragastric belching and rumination syndrome: diagnosis and management

Davidson,

Sibley,

O’Rourke

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review This review article aims to discuss the clinical presentation and diagnosis of rumination syndrome and supragastric belching, as well as treatment options for both diseases. Recent findings Functional gastrointestinal disorders such as rumination syndrome and supragastric belching may be effectively treated using biofeedback. Summary A comprehensive approach that includes potential pharmacologic treatments, cognitive behavioral therapy and biofeedback should also be considered for optimal management of supragastric belching and rumination.

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Section: Management Of Rumination Syndrome and Supragastric Belchingmentioning

confidence: 99%

Supragastric belching and rumination syndrome: diagnosis and management

Davidson,

Sibley,

O’Rourke

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…Providing patients with a clear diagnosis and explanation of the physiological nature of Rumination syndrome is the first step to treatment and helps to provide reassurance and reduce resistance to the diagnosis and treatment of Rumination syndrome. The gastroenterologist will discuss any medications they would recommend for the patient to take to address any comorbid symptoms, or baclofen to potentially assist in reducing regurgitation frequency as an adjunct to behavioral treatment (Gupta et al, 2021). Finally, the psycholo-gist reviews the plan for the IOP to begin the following day.…”

Section: Initial Clinic Evaluationmentioning

confidence: 99%

Intensive Outpatient Treatment of Pediatric Rumination Syndrome

Kroon Van Diest

2023

Clinical Practice in Pediatric Psychology

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Objective: Rumination syndrome is a disorder of gut-brain interaction that involves effortless postprandial regurgitation of gastric contents. It frequently occurs in otherwise healthy children and adolescents, and is associated with significant physical and psychological consequences. Treatment of Rumination syndrome is largely behavioral, and more severe illness was traditionally treated with intensive inpatient treatment. While largely successful, inpatient treatment is very costly and frequently denied by insurance. Method: As such, the intensive outpatient program (IOP) for treating Rumination syndrome was developed. This paper describes the novel IOP approach to treating pediatric Rumination syndrome in detail. Results: Data on both treatment and cost-effectiveness of the IOP are reviewed, demonstrating that IOP is as effective yet significantly cheaper than intensive inpatient treatment. The tiered method of care used within this model, adaptation to telehealth, and translatability of the program to other providers and institutions are also reviewed. Conclusions: Intensive outpatient treatment for pediatric Rumination syndrome is an effective form of treatment that is significantly less costly than inpatient care, more readily approved by insurance, and more easily translated to telehealth or other institutions and providers for use. Implications for Impact StatementThe intensive outpatient program for treating pediatric Rumination syndrome is effective while costing significantly less than previously relied upon inpatient treatment and is described in detail in this article. Adaptation to telehealth as well as ability of other providers or institutions to use this model to treat pediatric Rumination syndrome is reviewed.

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Rumination Syndrome

Diest

Yacob²

2022

Pediatric Neurogastroenterology

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38 Review of Baclofen Treatment for Children With Rumination Syndrome at a Single Center

Cited by 3 publications

References 0 publications

Supragastric belching and rumination syndrome: diagnosis and management

Supragastric belching and rumination syndrome: diagnosis and management

Intensive Outpatient Treatment of Pediatric Rumination Syndrome

Rumination Syndrome

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